Clinician collected for NAAT/culture/microscopy
Urethral swabs for microscopy should be collected when the patient has not urinated for at least 1 hour and only if the patient has frank urethral discharge. Squeeze the urethra to express the discharge and collect on urethral swab. It is not necessary to insert the swab into the urethra.
Rectal swabs should be collected by inserting a sterile swab 2-4cms into the anal canal and moving the swab gently side to side for 10-20 seconds.
Pharyngeal swabs should be collected from the tonsils and oropharynx.
High vaginal swab of vaginal discharge smeared onto a glass slide, air dried and sent for microscopy. Swab inserted into transport medium for culture.
Non-steroidal anti-inflammatory drugs (such as ibuprofen or naproxen ), and aspirin may decrease redness and pain.   Local anesthetics such as benzocaine , however, are contraindicated.  Schwellnus et al. states that topical steroids (such as hydrocortisone cream ) do not help with sunburns,  although the American Academy of Dermatology says they can be used on especially sore areas.  While lidocaine cream is often used as a sunburn treatment, there is little evidence for the effectiveness of such use. 
Principal Treatment Options Situation Recommended Alternative Initial episode Valaciclovir 500mg PO, BD for 5 - 10 days Aciclovir 400mg PO, TDS for 5 - 10 days Recurrence: Episodic therapy Valaciclovir 500mg PO, BD for 3 days Famciclovir 1g PO, BD for 1 day Recurrence: Suppressive therapy Valaciclovir 500mg PO, daily for 6 months Famciclovir 250mg PO, BD for 6 months Treatment advice